Case 111: A 69-Year-Old Diabetic Woman for Routine Assessment History Diagnosis History A 69-year-old diabetic woman with no history of cardiac complaints, is seen by her family physician for a routine assessment: Diagnosis Sinus rhythm Right bundle branch block ECG ID: E232
Case 112: A 68-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old man is admitted to the coronary care unit with severe anterior chest pain: Diagnosis Sinus rhythm Right bundle branch block Acute anterior myocardial infarction Lateral injury pattern ECG 2 1 hours after admission an arrhythmia occurred, associated …
Case 113: A 75-Year-Old Man with Recent Change to ECG History Diagnosis ECG 2 History A 75-year-old man, followed in the cardiac clinic. He had triple aorto-coronary bypass surgery 15 year ago. He has remained stable and symptom-free during moderate exercise. His family doctor has referred him because his ECG has recently changed. He has …
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Case 114: A 68-Year-Old Man with Chest Pain History Diagnosis History A 68-year-old man is in the Emergency Department complaining of crushing central anterior chest pain that started 30 minutes earlier: Diagnosis Sinus Bradycardia, 55/min First degree AV block Left bundle branch block ECG ID: E225
Case 115: A 62-Year-Old Man with Dyspnea History Diagnosis History A 62-year-old man is in the Emergency Department with severe crushing central anterior chest pain of 1 hour duration: Diagnosis Sinus rhythm Left bundle branch block ECG ID: E224
Case 116: A 59-Year-Old Woman in the Emergency with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History This 59-year-old woman with a history of hypertension had been complaining for the past two years of episodes of rapid regular palpitation, starting and end suddenly, associated with dyspnea and weakness. …
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Case 117: A 56-Year-Old Man in the Medical Intensive Care Unit History Diagnosis History A 56-year-old man was seen in the Emergency ward because of severe dyspnea and is admitted to the medical ICU. For the past month he had felt unwell and had complained of fatigue and mild breathlessness on exertion. In the ICU …
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Case 118: A 76-Year-Old Man with Abnormal ECG History Diagnosis History The ECG of this 76-year-old hypertensive man is recorded at the office of his family MD during his yearly assessment: Diagnosis Sinus rhythm Left anterior fascicular block Left ventricular hypertrophy with repolarization abnormality This patient had a longstanding history of hypertension, difficult to control, …
Case 119: A 60-Year-Old Man in the CCU History Diagnosis History A 60-year-old man with known coronary artery disease is admitted to the CCU with unstable angina. On the way to the hospital he had 2 episodes of paroxysmal palpitation of 5-10 minutes duration, associated with severe dyspnea and lightheadedness. Palpitation recurred shortly after admission, …
Case 120: A 34-Year-Old Man with Severe Vomiting History Diagnosis ECG 2 ECG 2 Diagnosis History A 34-year-old man is admitted because of severe vomiting following prolonged heavy alcohol intake: Diagnosis Sinus rhythm, 86/min Prolonged Q-TU Tall U waves Findings compatible with hypokalemia This patient had been suffering from frequent episodes of severe vomiting. When …
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